Diagnostic accuracy of transthoracic echocardiography for pulmonary hypertension: a systematic review and meta-analysis
Rattachement africain : cn, jp, us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: To evaluate the diagnostic accuracy of transthoracic echocardiography (TTE) in patients with pulmonary hypertension (PH). DESIGN: Systematic review and meta-analysis. DATA SOURCES AND ELIGIBILITY CRITERIA: Embase, Cochrane Library for clinical trials, PubMed and Web of Science were used to search studies from inception to 19 June, 2019. Studies using both TTE and right heart catheterisation (RHC) to diagnose PH were included. MAIN RESULTS: A total of 27 studies involving 4386 subjects were considered as eligible for analysis. TTE had a pooled sensitivity of 85%, a pooled specificity of 74%, a pooled positive likelihood ratio of 3.2, a pooled negative likelihood ratio of 0.20, a pooled diagnostic OR of 16 and finally an area under the summary receiver operating characteristic curve of 0.88. The subgroup with the shortest time interval between TTE and RHC had the best diagnostic effect, with sensitivity, specificity and area under the curve (AUC) of 88%, 90% and 0.94, respectively. TTE had lower sensitivity (81%), specificity (61%) and AUC (0.73) in the subgroup of patients with definite lung diseases. Subgroup analysis also showed that different thresholds of TTE resulted in a different diagnostic performance in the diagnosis of PH. CONCLUSION: TTE has a clinical value in diagnosing PH, although it cannot yet replace RHC considered as the gold standard. The accuracy of TTE may be improved by shortening the time interval between TTE and RHC and by developing an appropriate threshold. TTE may not be suitable to assess pulmonary arterial pressure in patients with pulmonary diseases. PROSPERO REGISTRATION NUMBER: PROSPERO CRD42019123289.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Diagnostic accuracy of transthoracic echocardiography for pulmonary hypertension: a systematic review and meta-analysis
- Date Crossref
- 01/12/2019
- Éditeur
- BMJ
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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China International Science and Technology Cooperation pays non établi dans la noticeOrganisme public
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First Hospital of Lanzhou University Department of Cardiovascular Surgery pays non établi dans la noticeÉtablissement de santé
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Lanzhou University pays non établi dans la noticeUniversité ou école supérieure
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Translational Research Informatics Center (Japan) pays non établi dans la noticeEntreprise
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Evidence Based Research (United States) pays non établi dans la noticeEntreprise
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Gansu Provincial Hospital pays non établi dans la noticeÉtablissement de santé
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Intelligent Imaging Medical Engineering Research Center of Gansu province pays non établi dans la noticeStructure de recherche
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Precision Image and Collaborative Innovation International Scientific and Technological Cooperation Base of Gansu province pays non établi dans la noticeInstitution
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Department of Cardiovascular Surgery pays non établi dans la noticeInstitution
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Institute of Clinical Research and Evidence Based Medicine pays non établi dans la noticeStructure de recherche
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Key Laboratory of Evidence-based Medicine and Knowledge Translation of Gansu Province pays non établi dans la noticeStructure de recherche
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Evidence-Based Social Science Research Center pays non établi dans la noticeStructure de recherche
China International Science and Technology Cooperation, Department of Cardiovascular Surgery — First Hospital of Lanzhou University et Lanzhou University, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.